Individual provider Active NPI

Kayla Chanhyung Chung

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1417853292
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2310 E Michael Manor LN
Arlington Heights, IL 60004-4337
Phone
(630) 857-8180
NPI assigned
Oct 17, 2026
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2310 E Michael Manor LN
Arlington Heights, IL 60004-4337

Mailing address

2310 E Michael Manor LN
Arlington Heights, IL 60004-4337
Phone (630) 857-8180

Other names 1

  • Chanhyung Chung Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1417853292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E MICHAEL MANOR LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044337",
            "telephone_number": "630-857-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E MICHAEL MANOR LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044337",
            "telephone_number": "630-857-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KAYLA",
        "middle_name": "CHANHYUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-17",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANHYUNG",
            "last_name": "CHUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.